Author Question: A patient with a gram-negative infection is being treated with an aminoglycoside. What system should ... (Read 109 times)

Mr.Thesaxman · **on:** Jul 23, 2018

A patient with a gram-negative infection is being treated with an aminoglycoside. What system should the nurse expect to monitor closely while the patient is taking this medication?

A) Respiratory system
B) Ophthalmic system
C) Renal system
D) Musculoskeletal system

Question 2

A patient is to receive a physical examination before starting immune sera therapy. What would the nurse assess for?

A) Assess mental status changes
B) Physical characteristics
C) Pulse pressure
D) Adventitious breath sounds

meow1234 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
Renal function should be tested daily because aminoglycosides depend on the kidney for excretion and if the glomerular filtration rate (GFR) is abnormal it may be toxic to the kidney. The results of the renal function testing could change the daily dosage. Aminoglycosides do not usually adversely affect respiratory, hepatic, or musculoskeletal function, although baseline data concerning these systems is always needed.

Answer to Question 2

D
Feedback:
Perform a physical assessment to determine baseline status before beginning therapy and for any potential adverse effects; inspect for presence of any skin lesions to monitor for hypersensitivity reactions; monitor temperature to monitor for possible infection, pulse, respirations, and blood pressure; auscultate lungs for adventitious sounds; assess level of orientation and affect to monitor for hypersensitivity reactions to the vaccine.